Eastern Carolina Pediatric Associates

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

EASTERN CAROLINA PEDIATRIC ASSOCIATES

Practice address

1530 McClure CT
Florence, SC 29505-6046

Phone

(843) 667-6710

Fax

(843) 317-9784

NPI assigned

Jun 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles Morrison Farish, M.D.

Title

President/Partner

Phone

(843) 667-6710

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Eastern Carolina Pediatric Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Eastern Carolina Pediatric Associates

  • Pediatrics Physician
  • Darlington, SC
  • NPI 1073678868
  NPD tax ID
• Eastern Carolina Pediatric Associates

  • Pediatric Dentistry
  • Darlington, SC
  • NPI 1245300714
  NPD tax ID

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Franklin Davis, M.D.

  • Pediatrics Physician
  • Florence, SC
  • NPI 1841227840
  Medicare reassignment Care Compare group NPD
• John Alvin Keith III, M.D.

  • Pediatrics Physician
  • Florence, SC
  • NPI 1073559829
  Medicare reassignment Care Compare group NPD
• Christopher Thomas Bardi, M.D.

  • Pediatrics Physician
  • Florence, SC
  • NPI 1194767723
  Medicare reassignment NPD
• Dante Neisone Lewis, MD

  • Pediatrics Physician
  • Mebane, NC
  • NPI 1508843442

  SC

  Medicare reassignment NPD
• Sherica Lynn Warfield Cain, FNP-C

  • Family Nurse Practitioner
  • Florence, SC
  • NPI 1558984203
  NPD (past)
• Sharon A Walters, FNP

  • Family Nurse Practitioner
  • Florence, SC
  • NPI 1396952230
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992749220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 MCCLURE CT",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056046",
            "telephone_number": "843-667-6710",
            "fax_number": "843-317-9784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 MCCLURE CT",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056046",
            "telephone_number": "843-667-6710",
            "fax_number": "843-317-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN CAROLINA PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARISH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MORRISON",
        "authorized_official_title_or_position": "PRESIDENT/PARTNER",
        "authorized_official_telephone_number": "843-667-6710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC0183",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ear, Nose & Throat Associates of Florence
• John Breeden Early Jr., DMD
• Stacie Patrice Eason
• East Carolina Hearing
• Eastern Carolina Family Medicine
• Lakia Easton, OT
• Mark Thomas Eberle Jr., PT
• Ec Florence Operations, LLC
• Ethel Murchison Eckenstein, MSN, RN, BCHH-C
• Eralphia Lee Eckles Jr., LBSW

• Pediatrics Physician in Florence, SC
• Providers in Florence, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.